ALEXANDRA MAYNARD JACKSON

WICHITA, KS
NPI1487336921
Former NameALEXANDRA NICOLE MAYNARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: KS  5347)
Enumeration Date2023-08-03
Last Update Date2023-08-03
Business Address
ALEXANDRA MAYNARD JACKSON CCC-SLP
929 N SAINT FRANCIS AVE
WICHITA, KS 67214-3821
Phone number: 316-268-5000
Mailing Address
ALEXANDRA MAYNARD JACKSON CCC-SLP
11622 W RYAN PL
WICHITA, KS 67205-2188
Phone number: 913-378-4768
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